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. 1983 Summer;4(4):19–46.

Table 11. Medicare Reimbursements Per Enrollee by Buy-in Status and by State, 1978.

Area of Residence HI Ratio: With to Without Buy-in SMI Ratio: With to Without Buy-in


All Persons Without Buy-in With Buy-in All Persons Without Buy-in With Buy-in
United States $598 $562 $ 914 1.6 $251 $237 $369 1.6
Northeast 650 618 1,075 1.7 277 268 398 1.5
 New England 658 626 1,019 1.6 259 252 347 1.4
  Maine 572 536 898 1.7 203 194 285 1.5
  New Hampshire 470 461 850 1.8 189 187 289 1.5
  Vermont 508 451 1,064 2.4 195 186 277 1.5
  Massachusetts 750 712 1,039 1.5 277 267 350 1.3
  Rhode Island 596 582 791 1.4 302 299 353 1.2
  Connecticut 606 590 1,296 2.2 262 257 449 1.7
 Middle Atlantic 647 615 1,097 1.8 283 273 419 1.5
  New York 684 650 1,071 1.6 309 298 428 1.4
  New Jersey 606 560 1,265 2.3 288 273 506 1.9
  Pennsylvania 618 596 1,033 1.7 244 239 332 1.4
North Central 631 607 1,023 1.7 213 207 308 1.5
 East North Central 659 634 1,081 1.7 220 213 333 1.6
  Ohio 603 572 1,037 1.8 200 190 329 1.7
  Indiana 555 533 942 1.8 188 182 287 1.6
  Illinois 742 716 1,530 2.1 222 217 381 1.8
  Michigan 732 712 1,037 1.5 275 270 361 1.3
  Wisconsin 577 555 887 1.6 199 193 286 1.5
 West North Central 575 550 927 1.7 199 194 267 1.4
  Minnesota 557 546 918 1.7 215 213 292 1.4
  Iowa 535 504 906 1.8 179 173 253 1.5
  Missouri 616 581 948 1.6 199 193 261 1.4
  North Dakota 585 578 708 1.2 196 193 249 1.3
  South Dakota 504 489 770 1.6 155 152 198 1.3
  Nebraska 534 520 1,010 1.9 175 172 272 1.6
South 522 486 742 1.5 228 218 289 1.3
 South Atlantic 537 502 801 1.6 251 241 328 1.4
  Delaware 609 584 942 1.6 221 217 268 1.2
  Maryland 692 643 1,104 1.7 268 248 430 1.7
  District of Columbia 704 640 987 1.5 362 327 516 1.6
  Virginia 503 462 799 1.7 211 197 307 1.6
  West Virginia 454 441 606 1.4 150 148 185 1.3
  North Carolina 449 392 814 2.1 167 149 280 1.9
  South Carolina 410 367 574 1.6 156 146 194 1.3
  Georgia 453 420 570 1.4 210 198 250 1.3
  Florida 594 562 1,037 1.8 332 321 490 1.5
 East South Central 476 441 618 1.4 174 163 215 1.3
  Kentucky 451 430 590 1.4 149 144 187 1.3
  Tennessee 481 449 650 1.4 177 172 204 1.2
  Alabama 512 483 595 1.2 189 181 215 1.2
  Mississippi 452 377 636 1.7 180 153 246 1.6
 West South Central 528 485 775 1.6 225 211 304 1.4
  Arkansas 447 399 613 1.5 201 191 239 1.3
  Louisiana1 519 519 189 188
  Oklahoma 546 516 595 1.2 200 194 247 1.3
  Texas 544 484 819 1.7 247 228 332 1.5
West 618 541 1,051 1.9 319 281 536 1.9
 Mountain 532 502 846 1.7 251 245 314 1.3
  Montana 549 538 666 1.2 228 219 322 1.5
  Idaho 412 396 629 1.6 184 181 225 1.2
  Wyoming1 490 486 178 176
  Colorado 607 540 1,054 2.0 247 233 346 1.5
  New Mexico 488 462 630 1.4 249 250 245 1.0
  Arizona2 558 557 582 1.0 301 303 250 0.8
  Utah 392 365 852 2.3 190 180 361 2.0
  Nevada 641 550 1,612 2.9 335 311 386 1.9
 Pacific 645 554 1,085 2.0 341 293 573 2.0
  Washington 513 464 968 2.1 233 221 350 1.6
  Oregon1 537 536 227 227
  California 684 576 1,093 1.9 377 320 592 1.9
  Alaska3 994 966 384 381
  Hawaii 557 480 1,143 2.4 291 258 543 2.1
1

No State buy-in agreement.

2

No Medicaid program. State buys in for supplemental security income (SSI) recipients.

3

Entered into buy-in agreement effective October, 1982.

SOURCE: Health Care Financing Administration, Bureau of Data Management and Strategy, Office of Statistics and Data Management: Data from the Medicare Statistical System.